Individual
KELLI ANNE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 HAWTHORNE LN STE 100, CHARLOTTE, NC 28204-2536
(704) 316-7760
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11928
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/29/2021
Last updated
11/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us